| NPI | 1881632529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL L PORRUA President 305-649-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |